Provider Demographics
NPI:1760270284
Name:ORTIZ, PATRICIO ROMAN (LPC ASSOCIATE)
Entity type:Individual
Prefix:
First Name:PATRICIO
Middle Name:ROMAN
Last Name:ORTIZ
Suffix:
Gender:M
Credentials:LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9807 SABLE GRN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4377
Mailing Address - Country:US
Mailing Address - Phone:210-999-0837
Mailing Address - Fax:
Practice Address - Street 1:3700 FREDERICKSBURG RD STE 222
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-3273
Practice Address - Country:US
Practice Address - Phone:210-369-8627
Practice Address - Fax:210-571-1814
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX97052101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health